HARBOR YOUTH
STUDENT LEADERSHIP

APPLICATION

First Name

Last Name

Phone Number

Email

Gender

Birthdate

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Grade

Amount of time you have attended Harbor Youth:

What other areas are you serving in the church?

Are you "dating" or in the process of pursuing a relationship with anyone?

Yes

No

Please provide their name:

Please tell us about your other commitments?

Honestly describe how your relationship with God was in the past, how it is currently, and where you hope it will be in the future:

How would you describe your personality (Character Traits)?

What are your strengths (Abilities, Skills, Achievements, etc.) and weaknesses?

In what areas do you need to grow?

Briefly describe when and how you accepted Jesus Christ as your personal Savior and Lord:

Why would you like to be a Student Leader?

Do you currently tithe 10% of all your income and earnings? (Any money that you earn)

Yes

No

Please explain the context and reasoning behind your answer:

Facebook Username:

Instagram Username:

Tik Tok Username:

By checking "I agree", it means you will uphold all the expectations held for being a Harbor Youth Student Leader.

I AGREE

By checking "I agree", it means you will make it your ambition to live as an influencer, in church, outside of church, and every area of your life, needing not to be ashamed of any part of your life

I AGREE

If you are under the age of 18, by checking the "I agree" choice, it means you have effectively communicated with your parents/guardians about all of the requirements and expectations held of you, and they are in agreement.

I AGREE

Today's Date

Parent Signature

HARBOR YOUTH STUDENT LEADERSHIP

AS A STUDENT LEADER, YOU ARE AN INFLUENCER

HARBOR YOUTHSTUDENT LEADERSHIP

APPLICATION

HARBOR YOUTH
STUDENT LEADERSHIP